Penile Fractures: Symptoms, Treatment, and When to Seek Surgery - Urology

More Info

---

Penile fractures, although not as commonly discussed as other types of fractures, can occur during sexual intercourse or other activities that involve trauma to the penis. A penile fracture typically involves a rupture of the tunica albuginea, the fibrous sheath surrounding the erectile tissue of the penis, often accompanied by a significant amount of pain, swelling, and sometimes bruising. In your case, it seems that you experienced trauma during intercourse, which can lead to such an injury.


Symptoms of Penile Fractures
The symptoms of a penile fracture can include:
- A sudden, sharp pain in the penis during the injury.

- Swelling and bruising of the penis.

- A "popping" sound at the time of injury.

- Difficulty achieving or maintaining an erection.

- Pain during erections or sexual activity.

In your situation, while the external appearance of the penis may seem normal, the persistent pain you are experiencing two months after the injury is concerning. This could indicate underlying damage that has not healed properly or complications such as scarring or fibrosis.


Treatment Options
The treatment for a penile fracture typically depends on the severity of the injury. If there is a complete rupture of the tunica albuginea or if there are other complications, surgical intervention is often necessary. Surgery can help repair the damaged tissue, alleviate pain, and restore normal function.
In cases where the injury is minor and there are no significant complications, conservative treatment may be sufficient. This usually involves:
- Pain management with analgesics.

- Anti-inflammatory medications to reduce swelling.

- Avoiding sexual activity until the injury has healed.

However, given that you have been experiencing discomfort for two months and have not seen improvement, it may be time to consider further evaluation.

When to Seek Surgery
You should consider seeking surgical intervention if:
- You continue to experience significant pain that does not improve with medication.

- You notice any changes in erectile function.

- There is any curvature of the penis or deformity that develops over time.

- You experience any urinary issues.


Recommendations for Treatment
Since you are located in Taoyuan, I recommend seeking a urologist who specializes in penile injuries. Hospitals in northern Taiwan, such as National Taiwan University Hospital or Taipei Medical University Hospital, have experienced urologists who can provide a thorough evaluation and treatment options.
It may be beneficial to request imaging studies, such as an ultrasound or MRI, to assess any internal damage that may not be visible externally. This can help determine whether surgery is necessary.


Conclusion
In summary, while your initial visits to the urologist provided some relief through medication, the ongoing pain suggests that further evaluation is warranted. Don't hesitate to seek a second opinion or consult a specialist with experience in treating penile fractures. Early intervention can lead to better outcomes and help prevent long-term complications.